PURPOSE The aim of this study was to explore what patients on hemodialysis perceive concerning choice among three types of renal replacement therapies: transplantation, hemodialysis, and peritoneal dialysis. METHOD A qualitative phenomenological research design was employed in this exploratory, descriptive study. A convenience sample was recruited from two urban dialysis units in the southern...

BACKGROUND Whether off-pump coronary artery bypass grafting has a late renal protective advantage over conventional coronary arterial bypass grafting with cardiopulmonary bypass use is controversial. METHODS From 1997 to 2004, 2102 cases of isolated coronary arterial bypass grafting were collected and analyzed, 1116 (53%) in the cardiopulmonary bypass group and 986 (47%) in the off-pump coron...

OBJECTIVES Acute kidney injury and fluid overload frequently necessitate initiation of continuous renal replacement therapy in critically ill patients admitted to the ICU. In this study, our primary objective was to determine the effect of timing of initiation of continuous renal replacement therapy on ICU mortality in children requiring renal support for management of acute kidney injury and/o...

A comparison between 2 dilute citrate solutions (15mmol/l vs 18 mmol/l) in continuous renal replacement therapy: the base excess and renal replacement solution (BEARRS) study

the prevalence of chronic kidney disease (ckd), as defined by the nfk-kdoqi (the national kidney foundation kidney disease outcomes quality initiative) guidelines, is a glomerular filtration rate less than 60 ml/min/1.73 m2 or the presence of microalbuminuria. ckd is increasing worldwide, leading to an increased risk of cardiovascular disease. there is general agreement on the importance of an ...

OBJECTIVE To review the evolution of technologies in the development of renal replacement therapies. DATA SOURCES Articles and published reviews on renal replacement therapies. SUMMARY OF REVIEW Continuous arterio-venous haemofiltration (CAVH) was the first continuous renal replacement technique capable of overcoming the traditional haemodialysis-related side effects, making possible the tr...

BACKGROUND Renal replacement therapy has been used by the U.S. Army at the combat support hospital echelon of care since the Korean conflict. Although there has been a general decline in the incidence of wartime acute kidney injury, the mortality associated with acute kidney injury and the use of renal replacement therapy remain unchanged, in the range of 60% to 80%. The U.S. Army official doct...

The objective of this review is to assess the incidence of postoperative acute renal failure that necessitates the application of hemofiltration and to determine the factors that influence the outcome in patients undergoing surgical repair of abdominal aortic aneurysm. In addition, the review aims to assess the outcomes of postoperative early hemofiltration as compared to late intensive hemofil...

Acute renal failure refers to sudden deterioration in biochemical and physiological functioning of kidneys and often associated with multi organ failure. Continuous renal replacement therapy (CRRT) holds special significance for the treatment of renal failure due to a variety of factors. It is believed that CRRT helps in restoration of acid-base imbalances and electrolyte abnormalities. Along w...

Acute kidney injury is an important clinical condition particularly in the intensive care unit. It develops in as many as two-thirds of critically ill patients during the course of their illness and constitutes a significant independent risk factor for death. About 5% patients admitted to an ICU will eventually require renal replacement therapy. In these patients, in-hospital mortality is extre...